Physician
Children's Urological Foundation
Children's Urological Foundation was paid $611K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.
33Billing provider infoCHILDREN'S UROLOGICAL FOUNDATION
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1144234055assigned 07/28/2006
33bProvider typePediatrics Physician
28Total paid$611K
24GClaims8,602
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#127 of 1,273
Median peer was paid$24K
This provider vs. median26×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 686 | $45K | |
| 2019 | 593 | $32K | |
| 2020 | 253 | $15K | |
| 2021 | 519 | $36K | |
| 2022 | 666 | $45K | |
| 2023 | 2,383 | $171K | |
| 2024incomplete | 3,502 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 2,188 | 2,183 | $175K |
| 99243 | 24% | 1,534 | 1,534 | $144K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,547 | 2,520 | $141K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 957 | 950 | $73K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.0% | 215 | 215 | $30K |
| 51728 | 2.9% | 211 | 204 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 62 | 62 | $8K |
| 51797 | <1% | 162 | 157 | $5K | |
| 54161 | <1% | 26 | 26 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | 93 | $3K |
| 51785 | <1% | 52 | 52 | $3K | |
| 51741 | <1% | 395 | 367 | $2K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHICKEY, KATHLEEN (PROVIDER ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| CHMC Otolaryngologic Foundation, INC | Boston, MA | $1.89M |
| Boston Pediatric Neurosurgical Foundation, INC. | Boston, MA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.